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Organization
ASNAA
Active
Organization
ASNAA
Active
Other names
iamerica behavioral & mental health
Organization subpart
No
Provider details
NPI number
Authorized official
RABIA LATIF PHD (DIRECTOR)
(313) 558-9397
Entity
Organization
Contact information
Practice address
19445 W WARREN AVE, DETROIT, MI 48228-3361
(313) 558-9397
(734) 661-4501
Mailing address
19445 W WARREN AVE, DETROIT, MI 48228-3361
(313) 558-9397
(734) 661-4501
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
NULL
103G00000X
Clinical Neuropsychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
NULL
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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